| NPI | 1831635556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK WHITE Director 352-432-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8508) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |